South Africa: Touched by the vengeance of AIDS 1

The HIV/AIDS epidemic in South Africa is at a critical phase. Until now, the spread of HIV/AIDS has not been controlled, and the government has yet to adopt a coherent policy. The National AIDS Plan, developed in 1994, is largely unimplemented, despite having been praised as an innovative programme. Complicating the situation are the politics between government and various non‐governmental organisations (NGOs) over the control of resources on one hand, and the control of turf on the other. Perceived incompatibilities in agendas cause infighting between NCOs themselves and between NCOs and government. A successful HIV/AIDS policy in South Africa must include the efforts of government, NCOs and communities.     

Visible and invisible trauma: locating AIDS within a gendered framework in Darrell James Roodt’s Yesterday

Darrell James Roodt's Academy Award Nominated 2006 movie Yesterday explores how problematic gender dynamics in contemporary South Africa can influence the ways in which the issue of HIV/AIDS is perceived and dealt with socially. The film portrays the complex relationship between HIV/AIDS and identity as one that is both personal and public. Through the dramatization of a couple's experience of living with HIV/AIDS, Roodt's film considers a way in which the epidemic can be structured – through the framework of a gendered narrative. The film's portrayal of Yesterday's journey underlines how this narrative is filled with silences, a fear to disclose, and the blaming and punishment of the female as a scapegoat for HIV/AIDS.     

The hidden battle: HIV/AIDS in the household and community

The AIDS epidemic will cause significant increases in illness and death in prime‐age adults, which will manifest itself through negative social, economic and developmental impacts. The epidemics economic impacts at the household level are decreased income, increased health‐care costs, decreased productive capacity and changing expenditure patterns. Three coping strategies are observed: altering household composition; withdrawing savings or selling assets; and receiving assistance from other households. Following death, the impacts break out of the family into the community, primarily through orphaning. In the near future, the sheer number of orphans may overwhelm the capacity of existing community resources to cope. The distribution of the impacts of the AIDS epidemic falls unevenly among the genders. In Africa, women have higher infection rates and bear a disproportionate burden of the care of HIV‐positive people. Orphaned girls are more vulnerable to exploitation.     

AIDS, security and the military in Africa: A sober appraisal

This article examines four accepted wisdoms about HIV/AIDS andAfrican armies and in each case concludes that substantial revisionis necessary in the light of emerging evidence. First, it appearsthat military populations do not necessarily have a higher prevalenceof HIV than civilian populations. HIV levels in armies dependon many factors including the demographics of the army, itspattern of deployment, the nature and stage of the epidemicin the country concerned, and the measures taken to controlthe disease by the military authorities. Second, although theepidemic has the potential to undermine the functioning of nationalmilitaries, and may have done so in isolated instances, armiesin general are well placed to withstand the threat. Third, evidencethat war contributes to the spread of the virus is meagre andsuggests that we should be concerned primarily with specificrisks that conflict may entail including population mobilityand changing sexual networks. Lastly, the hypothesis that AIDShas the potential to disrupt national, regional, and internationalsecurity remains speculative. ^1. Roger Yeager, Craig Hendrix, and Stuart Kingma, ‘Internationalmilitary Human Immunodeficiency Virus/Acquired Immunodeficiencysyndrome policies and programs: strengths and limitations incurrent practice’, Military Medicine 165, 2 (2000), pp.87–92. ^2. S. Kingma, ‘AIDS prevention in military populations: learningthe lessons of history’, International AIDS Society Newsletter,4, March 1996, pp. 9–11. ^3. UNAIDS, ‘AIDS and the military: UNAIDS point of view’,UNAIDS Best Practice Collection, May 1998 (http://www.unaids.org/html/pub/publications/irc-pub05/militarypv_en_pdf.pdf,9 January, 2005). ^4. A.E. Pettifor, H.V. Rees, A. Steffenson, L. Hlongwa-Madikizela,C. MacPhail, K. Vermaak, and I. Kleinschmidt, HIV and SexualBehaviour Among Young South Africans: A national survey of 15–24year olds (Reproductive Health Research Unit, University ofWitwatersrand, Johannesburg, 2004). ^5. According to a South African AIDS Law Project press releaseof 23 October 2003, ‘the SANDF has however excluded andcontinues to exclude job applicants with HIV from employmentin the SANDF’ (http://www.alp.org.za/modules.php?op=modload&name=News&file=article&sid=229,16 April, 2005). ^6. Yigeremu Abebe, Ab Schaap, Girmatchew Mamo, Asheber Negussie,Birke Darimo, Dawit Wolday, and Eduard J. Sanders, ‘HIVprevalence in 72,000 urban and rural army recruits, Ethiopia’,AIDS 17, 12 (2003), pp. 1835–40. ^7. Taddesse Berhe, Hagos Gemechu, and Alex de Waal, ‘Warand HIV prevalence: evidence from Tigray, Ethiopia’, AfricanSecurity Review 14, 3 (2005), pp. 107–14. ^8. Olive Shisana, Leickness Simbayi, and E. Dorkenoo, ‘SouthAfrica’s first national population-based HIV/AIDS behaviouralrisks, sero-status and media impact survey (SABSSM) researchproject’ (Third Quarterly Progress Report, Household Survey2002, Human Sciences Research Council, Pretoria, 2002). ^9. UNAIDS, ‘AIDS and the military’, UNAIDS TechnicalUpdate, 1998 (http://www.worldbank.org/wbi/aidsleadership/dls_AIDS_military_may14.pdf,July 21, 2004); ‘Military populations’ AIDS Briefs(http://www.heard.org.za/publications/AidsBriefs/sec/military.pdf,December 22, 2005). ^10. Tsadkan Gebre Tensae, ‘HIV/AIDS in the Ethiopian military:perceptions, strategies and impacts’ (unpublished paper,2002). ^11. A. Adefalolu, ‘HIV/AIDS as an occupational hazard to soldiers– ECOMOG experience’ (Paper presented at the 3rdAll Africa Congress of Armed Forces and Police Medical Services,Pretoria, 1999), pp. 4–11. ^12. M. Fleshman, ‘AIDS prevention in the ranks – UNtarget peacekeepers, combatants in war against the disease’,African Recovery 15, 1–2 (2004), pp. 9–10. ^13. The same was true in Thailand, where the army responded in advanceof the government. ^14. ‘HIV/AIDS and Uniformed Services: Analysing the Evidence’.Expert Meeting, Cape Town, December 6–7, 2004 called byUNAIDS and attended by Alan Whiteside. ^15. Edward Hooper, Slim (Bodley Head, London, 1990); Edward Hooper,The River: A journey to the source of HIV and AIDS (Penguin,London, 2000), pp. 42–9. ^16. Robert Shell, ‘The silent revolution: HIV/AIDS and militarybases in Sub-Saharan Africa’ in Consolidating Democracy,Seminar Report Series (Konrad Adenauer Foundation, East London,2000), pp. 29–41. ^17. Reinhard Kaiser, Paul Spiegel, Peter Salama, William Brady,Elizabeth Bell, Kyle Bond, and Marie Downer, ‘HIV/AIDSseroprevalence and behavioral risk factor survey in Sierra Leone,April 2002’ (Center for Disease Control and Prevention,Atlanta, GA, 2002). ^18. C. Mulanga, S. Bazepeo, J. Mwamba, C. Butel, J.-W. Tshimpaka,M. Kashi, F. Lepira, M. Carael, M. Peeters, and E. Delaporte,‘Political and socio-economic instability: how does itaffect HIV? A case study in the Democratic Republic of Congo’,AIDS 18, 5 (2004), pp. 832–4. ^19. Taddesse Berhe, Hagos Gemechu, and Alex de Waal, ‘Warand HIV prevalence: evidence from Tigray, Ethiopia’, AfricanSecurity Review 14, 3 (2005), pp. 107–14. ^20. Tim Allen, ‘AIDS, security and democratic governance’,The Hague, 2–4 May 2005. Presentation at expert seminar. ^21. Paul Spiegel, ‘HIV/AIDS among conflict-affected and displacedpopulations: dispelling myths and taking action’, Disasters28, 4 (2004), pp. 322–39. ^22. African Rights, Rwanda: Broken bodies, torn spirits; livingwith genocide, rape and HIV/AIDS (African Rights, Kigali, 2004);V. Randell, ‘Sexual violence and genocide against Tutsiwomen. Propaganda and sexual violence in the Rwandan genocide:an argument for intersectionality in international law’,Columbia Human Rights Law Review 33, 3 (2002), pp. 733–55. ^23. Kaiser et al., ‘HIV/AIDS seroprevalence’. ^24. P. Fourie and M. Schönteich, ‘Africa’s newsecurity threat: HIV/AIDS and human security in southern Africa’,African Security Review 10, 4 (2001), pp. 29–44; M. Schönteich,‘AIDS and age: SA’s crime time bomb’, AIDSAnalysis Africa 10, 2 (1999), pp. 1–4. ^25. Rachel Bray, ‘Predicting the social consequences of orphanhoodin South Africa’ (Working Paper No. 29, Centre for SocialScience Research, University of Cape Town, 2003).     

AIDS and the Scientific Governance of Medicine in Post-Apartheid South Africa

AIDS policy in post-apartheid South Africa has been shaped bypersistent antipathy towards antiretroviral drugs (ARVs). Thishostility was framed initially by President Mbeki's questioningof AIDS science and subsequently by direct resistance to implementingprevention and treatment programmes using ARVs. Once that battlewas lost in the courts and in the political arena, the HealthMinister, Tshabalala-Msimang, continued to portray ARVs as ‘poison’and to support alternative untested therapies. Demographic modellingsuggests that if the national government had used ARVs for preventionand treatment at the same rate as the Western Cape (which defiednational policy on ARVs), then about 171,000 HIV infectionsand 343,000 deaths could have been prevented between 1999 and2007. Two key scientific bodies, the Medicines Control Council(MCC) and the Medical Research Council (MRC) fall under theambit of the national Department of Health. Although notionallyindependent, both have experienced political interference asa consequence of their scientific approach towards AIDS. AIDSpolicy improved after the Deputy President was given responsibilityfor coordinating AIDS policy in 2006. However, the underminingof the scientific governance of medicine is a legacy that stillneeds to be addressed.     

Lessons from Ugandan indigenous knowledge systems regarding the management of HIV and AIDS

Abstract

Health is one of the major challenges facing Africa today. Solutions need to come from within and outside Africa, drawing from Africa's indigenous knowledge systems. This article describes the life cycles of malaria, tuberculosis and human immunodeficiency virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) and presents some strategies for the control and prevention of these diseases that are lessons and experiences from African countries.     

Beyond the literary veil – Women writing Africa: The northern region (2009)

Abstract

Whenever African literature is discussed there is an articulated incorrect assumption that this relates to all the regions of Africa, except North Africa. A related further assumption is that only men in North Africa write. Female writers from the North barely receive critical attention, although they have been writing creative works. The aim of this article is to dispel the notion of literary drought when describing North Africa. Using the text, Women writing Africa: The northern region, the article demonstrates the different sensibilities that female authors in North Africa have created and manifest, when writing against patriarchy as well as against ideological philistinism within their communities. It is argued that female authors from North Africa – African-Arab women – are versatile in their imaginations as they engage with social reality from the perspective of creative art as well as political discourse. The article concludes that this assertion removes the literary veil so that North African female authors can begin to be appreciated artistically, more than has been the situation up to now.     

Feckless and reckless or forbearing and resourceful? Looking behind the stereotypes of HIV and AIDS in "fishing communities"

Over the last decade evidence has emerged suggesting that inmany countries fisherfolk, as an occupational group, are atgreater risk to HIV and AIDS than the general adult population.This high vulnerability has been explained in terms of the lifestylesassociated with fishing and related occupations, such as fishprocessing and trading. Fishermen have been portrayed as risktakers, their attitudes and behaviour shaped by the physicaland economic risks of the fishing lifestyle. Women in fishingcommunities, often engaged in fish processing and trading andproviding food and lodging in fishing settlements, are portrayedas being in subordinate social and economic positions and preyto sexual exploitation by cash-rich fishermen. There is a dangerin such lifestyle summaries that fisherfolk are characterizedas feckless risk takers with a reckless attitude to the chanceof contracting HIV. In this article we look at the lives ofsome men, women, and children living in a lake-side communityin Uganda severely affected by HIV and AIDS to illustrate howexisting portrayals of fisherfolk, and fishing communities,need to avoid stereotypes in order to better inform appropriatehealth sector and livelihood support measures.     

HIV/AIDS: Developing a national strategy with a human rights approach

Currently, HIV/AIDS is Africa s most compelling challenge, owing in part to the initial lack of government commitment to deal with the epidemic. Responses should take into account the impact of HIV/AIDS on various sectors, as well as the role those sectors should play in supporting a national AIDS plan. Governments should develop national AIDS plans in consultation with non‐governmental organisations, civil society and people living with HIV/AIDS. Supported by all levels of government, such plans should use human rights concerns as the basis of their approach. This approach will take into account the reform of existing legislation, as well as the promotion of a supportive environment for both people living with HIV/AIDS and groups particularly vulnerable to infection.     

Biomedical loopholes, distrusted state, and the politics of HIV/AIDS "cure" in Nigeria

As socio-medical phenomena, epidemics are revealing of the cultures in which they are experienced. The HIV/AIDS epidemic in Africa exposes antecedent tensions between state and society, and, on a broader canvas, between the global north and south. As a contribution to the emerging literature on the social ramifications of HIV/AIDS, this article examines the saga of the Nigerian physician and immunologist, Dr Jeremiah Abalaka, who like other innovators in sub-Saharan Africa claims to have developed a curative HIV vaccine. Whilst articulating the social conditions that enabled Abalaka to thrive, the article explores the marked differences in the reaction to his "discovery" among state representatives, the scientific establishment, the general public, people living with HIV, and the media. Finally, the article valorizes the emergence of new actors in the African health sector, and the diversity of strategies used by ordinary people to achieve and maintain wellness.     

Non-governmental organisations and the management of HIV and AIDS in refugee camps: A comparison of Marratane Camp in Mozambique and Kakuma Camp in Kenya

In recent years, a number of sub-Saharan African states appear to have placed restrictions on the operations of international non-governmental organisations (NGOs) within their state boundaries. Indeed, some commentators and academics have questioned the role NGOs should play in providing humanitarian aid to refugees and to what extent they are, or should be, involved in the political, cultural, economic and healthcare concerns and agendas of any state. However, the high HIV/AIDS prevalence in refugee camps in sub-Saharan Africa creates negative economic, social, political and security implications for their host states and many states lack the knowledge, experience and funds to manage the problem successfully. Within this context, this article examines and compares the role and effectiveness of two separate NGOs involved since 2001 in HIV/AIDS management programmes in two distinct refugee camps: Save the Children in Marratane Refugee Camp in Mozambique and the International Rescue Committee in Kakuma Refugee Camp in Kenya. NGO success in managing HIV/AIDS programmes is analysed according to UNHCR guidelines and specifically against four key aspects of HIVAIDS management; HIV/AIDS awareness, HIV/AIDS prevention, access to HIV healthcare services and the provision of treatment.     

Trends in HIV/AIDS infection: Beyond current statistics

At the end of 1999, the Joint United Nations Programme on HIV/AIDS estimated that about 50 million people worldwide, 14 million of whom had already died, had been infected with HIV. The global distribution of HIV is uneven, with developing countries bearing a disproportionate burden of infection. About 70% of all HIV infections occur in sub‐Saharan Africa. While stabilisation of the epidemic has been observed in a few countries, HIV continues to spread in most parts of the world, with 5.6 million new infections in 1999 alone. Trends in infection between countries and regions highlight the complexity of the HIV epidemics and the enormous prevention potential that still exists in most countries.     

ALIENS AND AIDS IN SOUTHERN AFRICA: THE MALAWI-SOUTH AFRICA DEBATE

Between 1988 and 1992, about 13,000 Malawian mine migrant workerswere repatriated from South Africa. The official reason givenwas that in the previous two years some 200 of them had testedHIV/AIDS positive. The South African Chamber of Mines requestedthe Malawi government to screen all the prospective migrantworkers from the country for HIV/AIDS before leaving for employmentin South Africa. The Malawi government refused, and the Chamberstopped recruiting labour from the country following a governmentban on the employment of foreigners with HIV/AIDS. Strong armtactics were employed in the repatriation of the Malawian workers,causing heated debates between the Chamber and the Malawi government,and the latter and its repatriated citizens. Within South Africaitself, opinion was divided. The Chamber wanted to keep itsMalawian workers for their skills, work discipline and lackof militancy. Some white conservative elements in the governmentdemanded the repatriation. They based their arguments on issuesof public health, emphasizing the risks the foreign workersposed to the local-especially the urban communities. A criticalanalysis of the issues involved, and the way the Malawians wererepatriated, suggests that HIV/AIDS was used as a smoke screen.The South African mining industry was going through a periodof crisis which necessitated massive retrenchment of workers,and especially foreigners. Desultory migrants were being replacedby career miners as part of the labour stabilization process.There was also a shift towards the recruitment of local workers.Malawi was no longer an important source of labour for the industry.     

Manufacturing Black-on-Black Violence in Africa: A Decolonial Perspective on Mfecane and Afrophobia/Xenophobia in South Africa

The phenomenon of “black-on-black” violence among the people of Africa has, ever since the advent of modernity/coloniality, been articulated in such a way that it presents victims as perpetrators. Thus, from the Mfecane violence of the “pre-colonial” era to the xenophobic/Afrophobic violence of the “post-colonial” era in Africa, incidents of black-on-black violence have always attracted explanations that cast doubt on the humanity of the black subject, through the colonial strategy of inventing and inverting causation. This colonial strategy entails both mis-presenting the epochal history of coloniality by representing it in terms of rupture instead of continuity, as well as representing the indigenous African subject as inherently violent. I argue in this article that black-on-black violence is a product of coloniality—a racist global power structure that makes incidents of “non-revolutionary violence” among the oppressed black subject inevitable. Thus, I deploy the case of the Mfecane violence of the “pre-colonial” era in southern Africa, and the Afro-phobic attacks on foreign nationals in “post-apartheid” South Africa to unmask the longue durée of coloniality, and its role of manufacturing blackon-black violence among the black people of Africa.     

The AIDS epidemic in Brazil: Public health and community responses

Brazil boasts one of the world's most successful programmes to confront the HIV/AIDS epidemic, in spite of the country's rather low social and health indicators. The government recognised early the threat that HIV/AIDS posed to Brazil, and initiated a great number of programmes. However, the success of prevention programmes, assistance to those infected and control of the epidemic in Brazil are the result of a combination of political will, technical and human resource capacity, adequate funding and, most important, social mobilisation.     

A new international order: Lessons of Kosovo

An examination of how the worsening AIDS epidemic in Africa has been used to construct a simplistic and racial view of Africa in the West as a continent that is homogenous, backward, sexually permissive, unpredictable and in need of control, advice and help from outside.     

How to be a Girl: Consumerism Meets Guidance in the Australian Women’s Weekly’s Teen Segments, 1952–1959

In 1952, when Australian teenagers were beginning to emerge as their own distinct social and consumer group, the Australian Women’s Weekly introduced a column specifically targeted at teens. “Youth Sums Up” was intended for both boys and girls, but by 1954 it had developed into For Teenagers, a monthly lift-out aimed predominantly at girls, which became Australia’s first version of a national teen girl magazine. In this article, I examine the ways in which the Weekly used its teen segments and lift-outs to mould teenage girls into the 1950s feminine ideal, and to sell the products that reflected the attitudes and values of the time to this new and powerful young market. I also demonstrate that while the Weekly’s teen segments promoted a traditional femininity, some of its teen girl readers publicly rejected these notions within the pages of the magazine, giving us a broader understanding of teenage girls, girl culture, and what is usually defined as a purely conservative decade.     

Anti-Apartheid Solidarity Networks and the Production of Come Back,Africa

In 1957, American filmmaker Lionel Rogosin arrived in Cape Town, South Africa, determined to make a film about apartheid. “Anti-apartheid Solidarity Networks and the Production of Come Back, Africa” discusses the film’s historical and cultural significance, and— a topic which deserves more attention— the film’s production. The article examines the interconnected and international nature of early anti-apartheid activism. International movements against apartheid may have been relatively small between 1957 and up until March of 1960, but Come Back Africa’s production shows that anti-apartheid activists and artists were becoming increasingly connected in a transnational web spanning the Atlantic with hubs in South Africa, Europe, and the United States. In the case of Come Back, Africa, relationships forged between Rogosin, black South African artists-activists (such as Lewis Nkosi, William “Bloke” Modisane, and Miriam Makeba) and white liberal anti-apartheid activists (including Father Trevor Huddleston, Reverend Michael Scott, and Mary Benson) proved mutually beneficial.     

Ubuntu. The missing link in the rights discourse in post-apartheid transformation in South Africa

ABSTRACT

A human rights discourse has been central to both the anti-apartheid struggle of South Africa and the country's post-apartheid transformation. But in the drive to extend constitutionally mandated social and economic rights to all South Africans, the approach has had shortcomings. The current neo-liberal economic policy framework constrains policy choices and, in some instances, restricts fair adjudication of rights by the courts. The revival of notions of African Renaissance and indigenous ethnophilosophies, notably ubuntu, which shares the primacy of human dignity of a rights discourse, offers new perspectives. This article looks at the limitations of the human rights discourse and at how ubuntu, as a principled basis for judicial decision making, can contribute to the evolution of the rights discourse in South Africa and lead towards greater realisation of constitutional rights for all.     

The drug trade in Southern Africa

Introductory Address by Dr. AM Omar MP, Minister of Justice, at the South African Institute of International Affairs’ Workshop on ‘The Drug Trade in Southern Africa’, 5 June 1997, University of the Witwatersrand, Johannesburg.